Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $50.00 <br /> and/or Pre-Application Form or Map Review Form Survey of Existing Parcel: $50.00/lot <br /> Subdivision w/Survev: $200.00+$50.00/lot <br /> n <br /> Owner: K ay. l (.Q.)1'1,,-/jkj I` b t CD nr2 O(—Buyer: b, <br /> Address: <br /> I�V 7 P�u 11 SC(Gu� Tefral'e,&� Address: 3 <br /> Lakt bsw�jo K qwq <br /> Phone: Phone: <br /> Original Parcel Information <br /> Parcel ID#: 0 l Ola d t{015-ot5-5.65-Ool G/aSODo Section o�S Township Range <br /> Original Description(or attach copy): PCI 176V Of I <br /> 6tyV&I of �Xlsfihg <br /> CurrentZoning: i� �!Floodplait N: Wetlands Y� Lake/River Class: 3 <br /> > Name of Water Body: afid LAK L Shoreland Agreement/SIPS Yfl <br /> m <br /> Farmland Preservation Y� Managed Forestry Law Y <br /> 0 O <br /> New Parcel Information <br /> J <br /> Proposed New Legal Description and Parcel Size: J <br /> d <br /> 1 <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> A <br /> Proposed access to public waters to be provided Y/N: 00 <br /> If yes,describe access: —� <br /> y <br /> O <br /> Signature of Owner: Date: n <br /> Signature of Owner: Date: og <br /> S <br /> e <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> at <br /> c ➢ Does parcel require a Survey? Yes No <br /> e <br /> ➢ Permit application fees submitted? ❑ Amount$�' b Receipt# 11 <br /> R� <br /> ❑ Reconciles with Real Property Lister Yes No Date: � <br /> 0 <br /> If not,explain: <br /> C6 <br /> o <br /> 'a Application: Approved / Denied Reason for Denial: <br /> Land Use: Date: o <br /> 0 <br /> T <br />